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General NPI Number Information
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NPI Number | 1174130587
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Entity Type | Organization
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Legal Business Name | BUFFALO OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 1404 SWEET HOME RD STE 11
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City | AMHERST
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State | NY
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Zip | 14228-2778
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Country | US
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Telephone | 716-235-3013
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Fax | 716-235-5795
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Provider Business Mailing Address
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Address Line | 1404 SWEET HOME RD STE 11
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City | AMHERST
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State | NY
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Zip | 14228-2778
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Country | US
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Telephone | 716-235-3013
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Fax | 716-235-5795
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE CYNTHIA ELIASON
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Credential | OTR/L
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Telephone | 716-235-3013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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